# SIOUX FALLS AMBULANCE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rural/Metro Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366499915
- **Authorized official:** EDWARD VAN HORNE (PRESIDENT & CEO)
- **Authorized official phone:** (682) 227-6078

## Contact information

- **Practice address:** 121 S WILLIAMS AVE, SIOUX FALLS, SD 57104-3135
- **Practice address phone:** (605) 336-6711
- **Practice address fax:** (605) 336-1445
- **Mailing address:** PO BOX 2812, SCOTTSDALE, AZ 85252-2812
- **Mailing address phone:** (855) 249-2841
- **Mailing address fax:** (480) 627-6128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0014 | SD | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 04/26/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 590163170 | RR MEDICARE NO | SD |
| 05 | — | 9010020 | — | SD |
